The United States is also massive geographically and road policies and enforcement vary dramatically. New York State, which similiar to the UK in regards to on

The United States is also massive geographically and road policies and enforcement vary dramatically. New York State, which similiar to the UK in regards to one massive metropolis, several large cities, and then lots of rural areas, has 5.8 deaths per 100k. Mississippi, which even its big cities are completely car dominated has 26.2 deaths per 100k. It comes down to a lot of things. When less of your population is driving, you're going to have less death. Big city streets are usually congested which slows vehicle speeds which in turns reduces deaths, and its politically difficult to slow cars down in a car dependent culture, as most people want to speed. I'll also point out that for a lot of the south and midwest, you drive to the bar and you drive away from the bar. They make bars with 50+ parking spots and then say "Don't drive drunk!". https://www.iihs.org/topics/fatality-statistics/detail/state-by-state https://www.iihs.org/topics/fatality-statistics/detail/state...